阴道微生物群和早产:组成,机制和微生物群导向疗法 (综述)
1Department of Obstetrics, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, Jinan, Shandong 250000, P.R. China.
International journal of molecular medicine
|September 26, 2025
概括
阴道微生物群失调,以低乳酸菌和高无氧细菌为标志,显著增加了早产 (PTB) 的风险. 未来基于微生物组的干预措施对PTB预防有希望.
科学领域:
- 生殖健康 生殖健康
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 过早出生 (PTB) 影响全球数百万人,患病率和死亡率高.
- 阴道微生物群失调越来越多地与PTB有关.
- 一个健康的阴道微生物群,由Lactobacillus spp.主导,可以防止病原体.
研究的目的:
- 审查与怀孕相关的阴道微生物群动态.
- 探索将失生症与PTB风险联系在一起的机制.
- 讨论未来针对PTB的基于微生物组的干预措施.
主要方法:
- 关于阴道微生物群和PTB的研究的文献综述.
- 分析涉及微生物代谢物和宿主免疫反应的机制.
- 评估当前和新兴的治疗策略.
主要成果:
- 减少乳酸菌的丰富性和厌氧细菌的过度生长 (例如,Gardnerella) 与PTB有关.
- 病原体的扩散可以引发上升性感染和胚胎内炎症.
- 阴道微生物群衍生代谢物影响免疫调节和炎症.
结论:
- 阴道微生物群失生症是早产的重要危险因素.
- 抗生素在治疗与失生症相关的PTB方面存在局限性.
- 益生菌和微生物群移植具有潜力,但需要进一步标准化.
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